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    Our experience with closed reduction management in Pavlik harness failure cases
    (2024) SAĞIR, AHMET; Kaya, Ramazan; Ceylan, Mehmet Fethi; Altunkılıç, Tarık; köse, harun
    Aim: Developmental Hip Dysplasia (DDH) refers to a set of abnormalities involving the developing hip. These abnormalities range from mild instability to overt dislocation of the joint. It is important to treat this condition effectively to promote normal development of the hip and achieve good long-term results. Surgical and non-surgical methods are available as treatment methods. Closed reduction and casting in the \"human position\" under general anesthesia under operating room conditions are effective methods for DDH patients who fail with non-surgical methods. The purpose of this article is to share the clinical and radiological results of the patients we treated with closed reduction and casting in our clinic. Materials and Methods: Radiological and clinical evaluation of 176 hips of 117 patients who applied to İnönü University Faculty of Medicine Department of Orthopedics and Traumatology between January 2010 and October 2017 and were treated with closed reduction and pelvipedal casting was performed retrospectively. Results: The average preoperative acetabular index of the operated hips was 35.88 degrees, and the final follow-up acetabular index values were 22.09 degrees. Avascular necrosis was detected in 2 of the patients (1.7%). According to the modified McKay classification, very good results were obtained in 105 (90%) of 117 patients followed for closed reduction, good results were obtained in 11 (9%), and fair results were obtained in 1 (0.85%). Conclusion: Closed reduction and cast treatment in developmental hip dysplasia is an effective treatment method due to its low complication rate and high success rate in the appropriate patient group.
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    Results of open reduction and salter innominate osteotomy for developmental dysplasia of the hip
    (Yuzuncu Yil Universitesi Tip Fakultesi Eastern Journal of Medicine Van 65100, 2015) Ünsal, Seyyid Şerif; Ceylan, Mehmet Fethi; Güner, Savaş Ilkay; Gökalp, Mehmet Ata; Türktaş, Uğur; Doğan, Ali Alp; Gözen, Abdurrahim
    We aimed to evaluate the clinical and radiological results of open reduction (OR) and Salter innominate osteotomy (SIO) for patients with developmental dysplasia of the hip (DDH). In this study, the results of 45 instances of OR and SIO treatment on 36 DDH patients between 2004 and 2012 were evaluated retrospectively. 28 (77.77%) of the patients were female and 8 (22:33%) of them were male. The mean age was 28.8 (18-55) and the mean follow-up period was 41.8 months (6-101). A recovery percentage was calculated by measuring the acetabular index on plain radiographs recorded before surgery, immediately after surgery, and final checkup. During patients’ final checkup, the clinical evaluation was performed according to a modified version of McKay’s criteria and the evaluation of the range of the joint motion was carried out according to the Trevor-Johns-Fixen scoring system. The acetabular index values recorded from patients’ hips had an average of 39.9 (35-47) degrees before the operation, but had a mean of 30.5 (20-35) degrees after the operation and an average of 18.5 (10-30) degrees during the final checkup. Clinically, excellent results were obtained in 22 hips (49%), good results were obtained in 17 hips (38%), and satisfactory results were obtained in 4 hips. Two of the patients could not be evaluated since they could not be mobilized due to cerebral palsy. Re-dislocation emerged in 3 hips (6.6%), deep infection emerged in 1 hip (2.2%), and a supracondylar femur fracture emerged for 1 patient (2.2%). OR and Salter’s innominate osteotomy is a highly effective surgical technique in the treatment of DDH cases that have lasted more than 18 months. © 2017 Elsevier B.V., All rights reserved.